摘要
随着开发新的治疗方法和应用的重要性的日益增加,纳米技术已经对医学研究产生了巨大的影响。在这些应用中,为了治疗和诊断不同疾病如癌症、感染性疾病、糖尿病、肺病,脑和心血管疾病,成功实现治疗药物和显像试剂的传递,纳米载体的使用已经引起了科学家的研究兴趣。心力衰竭是一种复杂的临床综合征,由继发于心脏结构和/或功能的遗传或获得性异常的多种原因所引起。心肌梗死(MI)是心衰的主要原因,在发病率、死亡率和医疗费用方面依然是全球难题。目前,已确立药理作用的药物能有效的减少心肌肥厚、重塑心肌细胞和降低心衰病人的发病率和死亡率。然而,虽然现有的药物优化治疗,我们也必须考虑心衰的预后不良以及治疗药物的有害影响。因此,迫切需要新的治疗方法,以预防心肌梗死和心衰的高发病率和死亡率。本文总结了对心血管疾病尤其是心肌梗死的治疗产生重要影响的纳米医学研究的近期发展。此外,以体内体外实验为例,我们讨论了用于心肌梗死的分子成像与治疗的不同的先进改性纳米技术的使用。最后,我们对纳米药物用于治疗心血管疾病的潜力进行了概述。
关键词: 心脏生物标志物,心血管疾病,成像,心肌梗死,纳米药物,纳米颗粒。
图形摘要
Current Drug Targets
Title:Advanced Nanomedicines for the Treatment and Diagnosis of Myocardial Infarction and Heart Failure
Volume: 16 Issue: 14
Author(s): Mónica P. A. Ferreira, Vimalkumar Balasubramanian, Jouni Hirvonen, Heikki Ruskoaho and Hélder A. Santos
Affiliation:
关键词: 心脏生物标志物,心血管疾病,成像,心肌梗死,纳米药物,纳米颗粒。
摘要: Nanotechnology has impacted tremendously the medical research with increasing importance in the development of new therapeutic approaches and applications. Among these applications, the use of nanocarriers has gained particular interest in order to achieve successful delivery of therapeutics and imaging agents for the treatment and diagnostics of different diseases, such as cancer, infections, diabetes, lung, brain and cardiovascular diseases. Heart failure (HF) is a complex clinical syndrome derived from multiple causes that arise from secondary to inherited or acquired abnormalities of cardiac structure and/or function. Myocardial infarction (MI), the major cause of HF, continues to be an increasing problem in terms of morbidity, mortality and healthcare costs worldwide. Currently, established pharmacological drugs have proven to be effective in reducing hypertrophy, remodeling of the myocardium, and in reducing morbidity and mortality in patients with HF. However, despite optimal treatment with existing drugs, the prognosis of HF is poor and also the possible deleterious effects of therapeutic agents must be considered when used at doses required for the desired therapeutic effect. Therefore, novel therapeutic strategies are urgently needed to prevent high morbidity and mortality associated with MI and HF. In this review, we will present recent developments in nanomedicine research envisaged to have an important impact on the treatment of cardiovascular diseases, particularly MI. In addition, we will discuss the use of different advanced modified nanosystems for molecular imaging and therapeutics of MI, presenting several in vitro and in vivo examples. Finally, we will conclude with an overview of the potential of nanomedicines in the future for the treatment of cardiovascular diseases.
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Cite this article as:
Mónica P. A. Ferreira, Vimalkumar Balasubramanian, Jouni Hirvonen, Heikki Ruskoaho and Hélder A. Santos , Advanced Nanomedicines for the Treatment and Diagnosis of Myocardial Infarction and Heart Failure, Current Drug Targets 2015; 16 (14) . https://dx.doi.org/10.2174/1389450115999141030143923
DOI https://dx.doi.org/10.2174/1389450115999141030143923 |
Print ISSN 1389-4501 |
Publisher Name Bentham Science Publisher |
Online ISSN 1873-5592 |
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